ALLISON M DORMAN (NPI# 1174147458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174147458 |
| Entity Type | Individual |
| Full Name | ALLISON M DORMAN |
| Credential | APRN |
| Practice Address |
830 Thomas More Pkwy Edgewood KY 41017-5102 |
| Mailing Address |
1360 Dolwick Erlanger KY 41018 |
| Practice Telephone | 8593018686 |
| Practice Fax Number | 8593018690 |
| Mailing Telephone | 8593445555 |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-06-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 3014545 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
830 THOMAS MORE PKWY |
| City | EDGEWOOD |
| State | KY |
| Zip Code | 41017-5102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821050717 | Lesley Marie Weghorn | Pediatrics | 830 Thomas More Pkwy, Suite 200 A, Edgewood, KY 41017-5102 | 2006-04-05 |
| 1669096137 | Karle Ann Miller | Nurse Practitioner | 830 Thomas More Pkwy, Edgewood, KY 41017-5102 | 2020-06-01 |
| 1770061301 | Danielle Wilson | Nurse Practitioner | 830 Thomas More Pkwy, Edgewood, KY 41017-5102 | 2018-08-06 |
| 1508304940 | Brad Bolte | Specialist/Technologist | 830 Thomas More Pkwy, Suite 101, Edgewood, KY 41017-5102 | 2017-02-06 |
| 1326490202 | Matthew Scott Jr. | Specialist/Technologist | 830 Thomas More Pkwy, Edgewood, KY 41017-5102 | 2016-07-05 |
| 1265884241 | Thomas Brossart | Specialist/Technologist | 830 Thomas More Pkwy, Suite 101, Edgewood, KY 41017-5102 | 2016-07-01 |
| 1619328960 | Michelle Miller | Specialist/Technologist | 830 Thomas More Pkwy, Edgewood, KY 41017-5102 | 2016-06-28 |
| 1467822049 | Jessica Vaniglia | Nurse Practitioner | 830 Thomas More Pkwy, Edgewood, KY 41017-5102 | 2015-09-25 |
| 1649650334 | Theresa Behan | Specialist/Technologist | 830 Thomas More Pkwy, Edgewood, KY 41017-5102 | 2015-06-08 |
| 1386058923 | Adam William Reis | Pediatrics | 830 Thomas More Pkwy, Edgewood, KY 41017-5102 | 2014-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
| 1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
| 1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
| 1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
| 1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
| 1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
| 1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
| Find all providers in zip 41017 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811995558 | Steven Douglas Martin | Nurse Practitioner | 1 Medical Village Drive, Edgewood, KY 41017-3403 | 2005-07-07 |
| 1609477652 | Best Choice Healthcare Services | Nurse Practitioner | 500 Edgewood Rd Ste 210, Edgewood, MD 21040-2734 | 2020-11-05 |
| 1437756442 | Danielle Brauning | Nurse Practitioner | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-10-02 |
| 1649887944 | Ashleigh Eversole | Nurse Practitioner | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-09-30 |
| 1043821085 | David Thomas Tackett | Nurse Practitioner | 20 Medical Village Dr, Edgewood, KY 41017-5401 | 2020-08-13 |
| 1104443480 | Jessica Mollmann | Nurse Practitioner | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-07-02 |
| 1669096137 | Karle Ann Miller | Nurse Practitioner | 830 Thomas More Pkwy, Edgewood, KY 41017-5102 | 2020-06-01 |
| 1144859208 | Jane Nordman | Nurse Practitioner | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-04-02 |
| 1245866888 | Annalee Fitzpatrick | Nurse Practitioner | 20 Medical Village Dr, Edgewood, KY 41017-5401 | 2020-03-16 |
| 1063047975 | Ashley Nicole Pope | Nurse Practitioner | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-03-11 |
| Find all providers in EDGEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.